Phacoemulsification Versus Peripheral Iridotomy in the Management of Chronic Primary Angle Closure: Long-Term Follow-Up

Primary angle closure occurs as a result of crowded anterior segment anatomy, causing appositional contact between the peripheral iris and trabecular meshwork, thereby obstructing aqueous outflow. Several studies highlight the role of the crystalline lens in its pathogenesis. The objective of this work is to compare the long-term efficacy of phacoemulsification versus laser peripheral iridotomy (LPI) in the management of chronic primary angle closure (CPAC). Prospective case-control study with 30 eyes of 30 patients randomly divided in two groups: 15 eyes in the LPI group and 15 eyes in the IOL group. Patients in the LPI group underwent LPI using argon and Nd:YAG laser. Patients in the IOL group underwent phacoemulsification with posterior chamber intraocular lens (IOL) implantation. Examinations before and after the procedure included gonioscopy, Goldmann applanation tonometry, and anterior chamber evaluation using the Pentacam rotating Scheimpflug camera. The mean follow-up time was 31.13 �� 4.97 months. There was a statistically significant reduction in the intraocular pressure (IOP) and number of anti-glaucoma medications (p < 0.01) only in the IOL group. Anterior chamber depth, angle, and volume were all higher in the IOL group (p < 0.01) at the end of the follow-up period. Phacoemulsification with posterior chamber IOL implantation results in a higher anterior chamber depth, angle, and volume, when compared to LPI. Consequently, phacoemulsification has greater efficacy in lowering IOP and preventing its long-term increase in patients with CPAC and cataract.

Establishment of environmental and biological bases to optimise the production of the European clam Ruditapes decussatus (Linnaeus, 1758)

Disserta����o para obten����o do Grau de Doutor em Ambiente

A Review of National Guidelines for Management of COPD in Europe

The quality of care can be improved by the development and implementation of evidence-based treatment guidelines. Different national guidelines for chronic obstructive pulmonary disease (COPD) exist in Europe and relevant differences may exist among them.This was an evaluation of COPD treatment guidelines published in Europe and Russia in the past 7���years. Each guideline was reviewed in detail and information about the most important aspects of patient diagnosis, risk stratification and pharmacotherapy was extracted following a standardised process. Guidelines were available from the Czech Republic, England and Wales, Finland, France, Germany, Italy, Poland, Portugal, Russia, Spain and Sweden. The treatment goals, criteria for COPD diagnosis, consideration of comorbidities in treatment selection and support for use of long-acting bronchodilators, were similar across treatment guidelines. There were differences in measures used for stratification of disease severity, consideration of patient phenotypes, criteria for the use of inhaled corticosteroids and recommendations for other medications (e.g. theophylline and mucolytics) in addition to bronchodilators.There is generally good agreement on treatment goals, criteria for diagnosis of COPD and use of long-acting bronchodilators as the cornerstone of treatment among guidelines for COPD management in Europe and Russia. However, there are differences in the definitions of patient subgroups and other recommended treatments.

InovCity ��� structure of trials evaluation

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA ��� School of Business and Economics

Evaluation of the impact of L���Or��al���s acquisition of The Body Shop on both brands

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA ��� School of Business and Economics

An approach to teach Calculus/Mathematical Analysis (for engineering students) using computers and active learning ��� its conception, development of materials and evaluation

Disserta����o para obten����o do Grau de Doutor em Ci��ncias da Educa����o

Balanced scorecard como metodologia utilizada no planeamento estrat��gico de um laborat��rio de patologia cl��nica

RESUMO - O t��tulo do presente trabalho de projeto ��: ���Balanced Scorecard como metodologia utilizada no planeamento estrat��gico de um Laborat��rio de Patologia Cl��nica���. Atualmente a qualidade dos servi��os prestados na ��rea da sa��de constitui uma quest��o que preocupa todos os stakeholders envolvidos. Neste ��mbito, a escolha desta tem��tica prende-se com a necessidade urgente de mudan��a no sentido de melhorar a performance do Laborat��rio de Patologia Cl��nica. Melhorar a qualidade dos servi��os prestados garantindo a efici��ncia e sustentabilidade do servi��o constitui a grande m��xima de qualquer organiza����o. Os objetivos deste trabalho de projeto s��o, entre outros: analisar as implica����es da avalia����o da qualidade de gest��o utilizando o Balanced Scorecard como metodologia; destacar a import��ncia do uso desta metodologia num Laborat��rio de Patologia Cl��nica no que diz respeito �� melhoria da qualidade, da efetividade e da efici��ncia e apresentar uma proposta de aplica����o desta metodologia a um servi��o de Patologia Cl��nica. A filosofia do Balanced Scorecard assenta em 4 perspetivas, financeira, dos clientes, dos processos internos e a perspetiva crescimento e aprendizagem, que funcionam de forma integrada permitindo uma avalia����o da qualidade de gest��o. Em cada uma destas perspetivas s��o definidos objetivos e indicadores que t��m de funcionar de forma integrada estabelecendo rela����es causa-efeito entre elas. Qualquer falha decorrente de objetivos n��o atingidos numa das perspetivas origina o desequil��brio de todo o sistema desencadeando desvios no percurso estrat��gico, no cumprimento da miss��o e da vis��o da organiza����o. A metodologia utilizada consiste essencialmente na recolha de dados resultantes da entrevista, pesquisa bibliogr��fica e an��lise documental do servi��o de Patologia Cl��nica, que contribu��ram para a elabora����o de uma proposta de implementa����o. A aplica����o de um sistema de medi����o da qualidade �� essencial e a metodologia Balanced Scorecard pode constituir uma ferramenta fundamental neste sentido, facilitando a gest��o de organiza����es de sa��de.

People management in the Portuguese nonprofits

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA ��� School of Business and Economics

Contract-program evaluation: Impact of the DRG classification system on hospitals' outputs

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA ��� School of Business and Economics

A simulation model for lean, agile, resilient and green supply chain management: practices and interoperability assessment

Disserta����o para obten����o do Grau de Mestre em Engenharia e Gest��o Industrial

Promoting healthy eating standards on children through CSR educational programs: An evaluation of impact on eating preferences, attitude towards the brand and perceived brand reputation

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA ��� School of Business and Economics

The influence of a fun packaging on children���s sensory evaluation of a healthy product

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA ��� School of Business and Economics

How training evaluation can be used to potentiate employee development in an organization

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA ��� School of Business and Economics

Service-oriented infrastructure to support the control, monitoring and management of a shop floor system

Disserta����o para obten����o do Grau de Mestre em Engenharia Electrot��cnica e de Computadores

Interactive spatial decision support for sustainable agroforestry management: a case study in East Kalimantan, Indonesia

Forest managers, stakeholders and investors want to be able to evaluate economic, environmental and social benefits in order to improve the outcomes of their decisions and enhance sustainable forest management. This research developed a spatial decision support system that provides: (1) an approach to identify the most beneficial locations for agroforestry projects based on the biophysical properties and evaluate its economic, social and environmental impact; (2) a tool to inform prospective investors and stakeholders of the potential and opportunities for integrated agroforestry management; (3) a simulation environment that enables evaluation via a dashboard with the opportunity to perform interactive sensitivity analysis for key parameters of the project; (4) a 3D interactive geographic visualization of the economic, environmental and social outcomes, which facilitate understanding and eases planning. Although the tool and methodology presented are generic, a case study was performed in East Kalimantan, Indonesia. For the whole study area, it was simulated the most suitable location for three different plantation schemes: monoculture of timber, a specific recipe (cassava, banana and sugar palm) and different recipes per geographic unit. The results indicate that a mixed cropping plantation scheme, with different recipes applied to the most suitable location returns higher economic, environmental and social benefits.